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NOTICE <br />everen AND INSPECTION REPORT <br />Address_ <br />Contractor <br />Owner. <br />Requested by ____ <br />TYPE OF INSPECTION REQUESTED <br />❑ BLDG: Pmt. No 0 MECH: Pmt. No <br />❑ ELEC: Pmt. No. W PLBG: Print. No„�! — <br />❑ Footing 0 Froming ❑ Branch Circuit <br />❑ Foundation 0 Drywall Nailing F1 Furnace <br />❑ Concrete Slab �Q Rough -In ❑ Final <br />❑ Fireplace and Chimney ❑ Scmice [] Other <br />A?PROVAL ❑PARTIAL APPROVAL <br />O VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved <br />❑ APPROVED FOR OCCUPANCY subject to certificate of occupancy. <br />0 Work listed below has been inspected and approved, <br />❑ Please contact Inspector and arrange for appointment. <br />❑ Was not able to perform Inspection. <br />❑ CALL 259•8745 FOR REINSPECTION — 24 hour notice required. <br />I was present during this inspection. <br />-11111WB <br />